Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $758.58	Professional		$371.54	$457.09	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,548.82	Facility		$933.25	$933.25	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $1,047.13	Professional		$776.25	$870.96	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,137.96 / $4,570.88	Facility		$645.65	$2,137.96	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,318.26 / $1,778.28	Professional		$478.63	$1,318.26	$1,778.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $758.58 / $1,148.15	Facility		$446.68	$758.58	$1,148.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $870.96 / $1,122.02	Professional		$524.81	$870.96	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $912.01 / $4,265.80	Facility		$457.09	$912.01	$4,265.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $1,023.29	Professional		$407.38	$549.54	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $549.54	Professional		$54.95	$70.79	$549.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $2,570.40	Professional		$933.25	$1,412.54	$2,570.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,862.09 / $4,265.80	Facility		$645.65	$1,862.09	$4,265.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $912.01 / $5,370.32	Professional		$478.63	$912.01	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $602.56 / $1,318.26	Facility		$363.08	$602.56	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $776.25	Professional		$338.84	$457.09	$776.25